Sharon Green-Golden
Appearances
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I've been over here waving the white flag for three weeks saying the sink don't work. The sink don't work. Sink don't work. And nobody wanted to really pay attention to me because one of the other things did work and they were going to get around to it. Um,
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I think that they have to understand that when we come to, and for us, following the chain of command, for us, it's for me to first go to whoever my direct leader is and coexist with infection control and say, this is the issue. I'm going to tell you the issue now. It's about being willing to be vocal. Does that make sense? SPD managers have not always been willing to be vocal.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
We were happy if I'm quiet, you don't bother me, I don't bother you. And life goes on because the patient doesn't even know I exist, so why am I shaking the tree? It's only when we decided to become professional in this field and we started learning more and thanking
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
thankfully um having uh classes and people like you who are teaching us how to be leaders that it came to the forefront that you can speak up respectfully and let somebody know there's a problem you can be on the record and it's not good to not be on the record so if i'm on the record and you don't uh uh
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
be proactive and help me when the problem comes in and you're reactive, I'm able to step back and pull the records and say, wait a minute, Dr. J, we got 25 emails where I told you since January that my camera don't work. And here's some of your answers was okay. Okay. So now that you can't see me on the camera at all, you want to ask me what happened? It's too late.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
it's a little late because if you get a manager or I consider myself a leader, if you get me a, if you get a leader like me, I'm going to say, Oh no, no, no, sir. I got some, I got some proof. That's right. I told you, I am vocal, not about the department as such, but the fact that what I do matters every day to every patient, That's right. Members fix a trade for.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And I don't want anyone to have a bad effect, including me. I've been the patient. So what has what has happened in the past? It is getting better. But, you know, the wheels of success move slow in some areas, especially when it costs money. The other thing is they're not proactive. In SPD, because usually what we need going to cost some money. I need some more people. That's the money.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I need a new piece of equipment. None of our equipment costs $2. I asked in tissue for us upon a good day, $7. So I need 35 of those. So the bottom line is it costs money. And when things cost money in America, people step back and decide how important it really is.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And it's just that you can do that at your house. You can say, it's not important for us to have steak in the refrigerator because steak costs too much. But when it comes to a patient's life, You have to weigh and balance. Do we really need this to function? It's my job as the manager to come with the information, with the facts, with the research and say, this is what we need to do this job.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And we really need it. We're doing the best we can without it. But this is what's going to happen. So when you start listing what the fallout will be, Eventually, with the help for us with infection control, they have a tendency to listen better. But when you're unseen and when they really don't think what you do matters, then they don't call you until the building is burning.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
The building is completely burning. And they say, wait a minute, I think they got water down there in the SPD. They were supposed to have the water. Let's go find out what had happened. And now you want me to come and explain why a patient could have gotten an infection.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
It's also my job, Dr. Jake, to be able to have the information available to say, patient got an infection that won't be replaced. What are they growing? What day was it? Let me pull the records and see what trays we sterilized. Let us see if the parameters were actually met that day for those trays.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Let me see if the finger that's pointing this way truly should be pointing this way because we have to fix things in order to not have them happen again. So I want to say on the record, all hospitals do not wait until the lawsuit is technically filed. Some of them have meetings. Infection control, number one, does their research and their investigation.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
It's going great here. Like you asked me, it's a little gloomy. We got a lot of wind. But it's a new day.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
The first thing they did at the hospitals that I worked with, because I sat on the infection control committee, was call SPD. We had a surgical site infection. They got that notice. They get a notice. Dr. Jenkins says we got an infection. Patient James went home. Now we got to bring him back and do an IND, which is, you know, incision and drainage of their site.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Call down the SPD, tell them the information, what day the surgery was, and let them do the research and pull the information for us for those trays that were used on that patient. Then they have what you will hear me call all the time a signal event meeting where they bring all the players into the room and we sit around and everybody has to explain their part.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And that's where we discuss what could have happened. Because you really don't know.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Infections you really don't know unless you knew that you used the dirty trick. So it's all speculations. It's circumstantial evidence. And so now we come together and we sit there and we say, what did you do? What did your department do? So for the hospitals that do that, I say kudos because we're part of the team and we should be at the meeting. They should not assume.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
The patient got an infection. It was due to SPD. They should not assume that. But by the same token, they should be willing to do the research and the investigation to determine what happened so that we can fix it. If it was SPD, if it was OR, we can fix it so that our next customer, our next patient does not have a bad outcome.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So I think that to SPD managers, those that are already directors and leaders, you have to know. You have to be willing to speak up. You have to be willing to do the investigation. You have to have the information there for the investigation. You have to sit on the committees so that you have input before there's what I call a sentinel event, before patient Jones gets an infection.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
That's good. I know that's right.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Early on, once I got into leadership status, one of the things I did was started to lay the groundwork within the hierarchy of the hospital as to who we were. Do you know, you know, we'd have meetings and if I got invited to the table, that's the key there, invited to the table. I didn't just go to the table and sit quietly. I laid the groundwork for Dr. Jake.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Have you ever been to sterile processing? You know, I miss Golden from sterile processing. Yeah, yeah, yeah. I know. I know. Have you ever been to sterile processing? Do you have any idea, other than we're doing instruments, what we're really doing? Effectively and respectfully, at hospitals, because I understand for years, I've been doing this for 30 or more years.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
For years, we were not on the infection control committee at all. It was only after some studies and going to some meetings and learning that I should be talking to infection control that I went and said, hello, infection control. I'm Ms. Golden down in sterile processing. Have you been to sterile processing? Do you know what we're doing?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I'm giving you a report every month that I can make it say what I want it to say. Do you know if I'm telling you the truth?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Yes. And I call that laying the groundwork for what's going on. I had a scenario at a hospital that eventually was bought and built brand new somewhere else where we didn't have a cart washer to wash the carts. And we were literally washing them by hand. And you'd have to wash it, the whole cart, and then you have to dry it, Dr. J. Drying required that you be on your knees.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
to drive the inside of a car. So, you know, most of our people in SPD are women. And we didn't understand, you know, I didn't understand why am I on my knees every day bending into a cart to dry it. And we had asked, it was on the budget. They were going to get a cart washer one day, kind of like Jesus is coming back. And so we were sitting there waiting for the crack in the sky.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
It didn't happen. And I had two employees that became pregnant
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
They can't get down on their knees in the cart. So I waited, talking about laying the groundwork. SPD week came up, which they really didn't celebrate, but we celebrated. And I asked the hospital C-suite, could we celebrate and could we do a program called Walk a Mile in My Shoes?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
They were like, okay. You know, just for one week. They were like, okay. So we set up stations for people to come in, get dressed out, come through SPD. But I went to the vice president who was over at SPD and said, would you come walk a mile today in the cut section? He was like, okay. He was a young man. Okay. Kind of like you, Dr. J. Okay. Okay.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So he brought them down there, put on his little outfit and we let him wash the car. Wash the car was not necessarily the hard part.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So after he washed the car, we said now after we wash it and we tilt it and we let the water drain out, then we roll it to this section and you have to physically drive. He was like, OK. So he was driving the car, wiping it down. And what we would do, what I did, is he'd wipe it down. He said, okay, this cart's dry. And I'd walk by and hit the top of it. Bam.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And all the water would come out of the corners. And he'd have to get back down and dry it again. And I'd walk by. I said, is that one ready, sir? He said, yes, it's ready. I hit it again. Bam. About the third time, he looked at me and said, what is going on? I said, well, sir, because water holds in these corners, we really can't dry it. And we're down here on our knees.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
You're on your knees, sir. We're down on our knees all day. You're doing 35, 40 cases a day. We need a cart washer, sir. We can't take it. We all getting ready to go to work, Ms. Comp. And my back hurt because I help. And I got two pregnant ladies. They no longer. So it's only five of us doing cart. Can you help us, please? Can you help? I know it's in the budget, sir.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
It's been in the budget for about seven years. Can you all help us? And when he got finished, now I will tell you, young man, he's gone a long way and is a leader in hospitals. But he helped us all day. He didn't leave. He stayed. But I want you to know something. When he left that day.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
When the budget came around at the end of the year, we had a cart washing. We had a cart washing.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
To this day, people will say, Ms. Golden, how did y'all get the cart washing? Because I was trying to get it. Listen, you have to learn to deal with people where they are if they're willing to hear.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
If they're willing to hear.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I think that it's important in our departments that we pay attention to our team members. I think that we have to take into consideration that with the struggles of today's lifestyles, having to work a lot of them more than one job, that we have to be fully aware That how they think, how they're feeling mentally be considered and taken care of.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Oh, and you know, Dr. J, what you're saying is so true. I never looked at it that way, but it didn't matter to me who bought the cop washer, whose idea it was. Just give me a cop washer. And so I learned at that point, Dr. Jake, that my job, part of my job as a manager is to manage the people, manage the processes, and to make the people who are over me look good by any means necessary.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Okay, because when he got the cart washer and the team was happy and the OR was happy because they wasn't getting carts up there sometimes with water inside dripping on something. Everybody won. And that particular hospital started. We actually started every year for everybody's week. They did a walk a mile in my shoe. He's like, what do you mean you need to walk a mile in your shoe in the lab?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
They're like, we need you to come see what we're doing in the lab. We need you to come see what we're doing in materials management. So everybody decided, you know what?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Because as you say, Dr. J, I didn't have to sit there and yell nothing. All I did was get the cart every time he thought he was finished. He said, you still got water, sir?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And then when we did sit down and talk, I said, that's why you hear the OR saying that they get carts upstairs that are wet. And he understood.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
You know, and listen, this is and what it does to you all who are managers and directors is as Dr. Jake says, you learn as you go, as you as you get knowledge, you grow. What happened was I learned that they had what is called an emergency fund.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
You know, you may have to offer a mental health day to somebody. You may have to offer a mental health week if they really are having some problems. But being cognizant of the fact that in today's world, especially here in America, how we feel mentally is important. And not to kick it under the rug, not to act like it does not exist because it does. And people are hurting.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
in the hospital, that when things get really, really, really, really tight, they can get whatever they want because they have that contingency plan, that fund back there. And so even though they've been in the budget year after year after year and nobody thought it was important, when he went back upstairs to the C-suite members that he was a part of and said, listen,
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I've been down in SPD all day long on my knees trying to drive a car.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And I can't drive. And I'm intelligent. I got five degrees. I got all of this. And the car was still wet. Every time Miss Green Golden came by and hit it, some more water fell out. That's right. So what they're saying is number one, relevant.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
They need a car washer. And let's see what we can do to get one because we need for them to be able to focus, not so much on their knees, drying carts, but if they're on their knees drying carts all day, they're not putting trays together. So now we understand why the other problem is there. They say, oh, the SPD can't get all the trades done.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
That's because we down on our knees driving the car to put the process in later. So it works. And it wasn't like you said, wasn't me being mean, being brash. It wasn't me being, for lack of terms, angry.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
black woman because i was black in that situation it was me just saying i just want you to see what i'm doing and why bam on the cart i think we need a cart washer you know i could be wrong sir i could be wrong and i think it's beautiful because even if we break down humanity what when you when you pull back the layers of someone's life it truly makes you
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
When it comes to, when you understand who you work for, which is the patient, when you understand the assignment, then it is your, I use this big word, Dr. Jake, your fiduciary responsibility to get it right by any means necessary. So you got a manager that don't care. I have some people say, my manager stay in the office all day. They don't even come out and see what we doing. Okay.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Well, what are you doing? Well, I'm doing things not necessarily correct. And I know it. And I've tried to talk to them and They don't have their listening ears on. They have their ears on where they hear, but not hear to listen. They hear to respond. Therefore, they really don't hear me. Then you have to do your due diligence within what you have control over.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So they come to work and they're hurting mentally. They have problems and being able to see that. And that was my reason for taking the mental health first aid course was being able to see that and being willing to, as I said last week, not diagnose anybody's problem.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Understand, I can only control what I can control. And we said it last week. If you're doing something that is totally wrong, that can harm somebody, you cannot sit back like you don't see. So at hospitals, I'm going to say at all hospitals, there is a 1-800 compliance number. You have got to be willing to report. Now, this is a little different than whistle, whistle blowing.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
You have to be willing to report. But you only report, Dr. J, when you followed the chain of command.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So there is a chain of command. The chain of command for me, if I remember correctly, at that particular hospital was the manager. That's me. Then it was the director. Director. Then from the director was the VP. there's a branch off of directed to infection control. So you could go to infection control.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
There's a branch off of that that says surgical operating center, which is the meeting where you go every month and sit with all the physicians, all the players for periop sit together where you can come in and they actually ask questions. What is going on? Now you have to decide respectfully that,
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And tactfully, how are you going to say, do you all realize that we're washing instruments with no soap? You cast that lie. Following the chain of command. I already told the director we don't have no soap. Director say he looking for it. We're trying to do the best we can. We're borrowing soap because I understand something, Dr. Jake. In SPD, people will try to get it done.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So as the manager, I have called over to hospital and borrowed some soap, some cleaning agent. Let me say cleaning agent. I borrowed cleaning agent and we're doing the best we can, but we need to get some of our own and repay people. What do I do? I can't sit there and wait till we completely out of cleaning agent.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So I've got to go tell somebody and somebody that can do something. So I went to my director. Director looked at me and said, I don't know what we're going to do. We went to materials management. They trying to procure some. But somebody's got to be willing to go the next step up. And what happens is people are fearful of leadership. I don't want to be the one that told the vice president.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And the director doesn't want me to be the one that told the vice president because that's what they should have done. So now I've got to sit back and with reverse psychology, help that director understand between he and I or she and I that we as a team I'm going because I have done the investigation and I have the facts. And he or she is going because they're running that area.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And we're going to the VP to say, listen, we cannot function next week without any cleaning agent. And we don't have any. And Hospital B isn't loaning us anymore because they've already loaned us, sir or ma'am, as much as they can. And we want to be on the record. And now the ball is in your court.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And I'm leaving the meeting, going back to SPD, trying to do the best I can. Because the one thing I consistently say to anybody that I'm dealing with about anything in SPD is that I, we work for the patient. If we don't have patients in hospitals, we don't make money. And so if the patients don't come because they got word of mouth that we're not doing things right, They're not going to come.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I really don't want to know the problem, but I want you to know that I care and I'm aware and I'm willing to help you seek the necessary help. that you need in order to be able to function. Because understand, Dr. Jake, if I'm not functioning mentally, I'm doing a good job.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And in this day and age with social media, all I got to do is get a friend to get on social media and say, they're killing people over at Joe Blow's hospital.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Pass it on. And eventually it gets out. Here and here where I live now, they have something called Wavy TV 10 on your side. You call to put a little note into them and say, I think they're killing people at Joe Blow's hospital. They're not watching the instruments with clean agent. You know what that TV station does? They do some investigation, do some research.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And next thing you know, they coming out to see what happened. No hospital wants to be in the news for that. So when you make people and you say it very plainly within your leadership teachings, you've got to let people know what they don't know. And so and you have to be sure that you made them aware of what they didn't know, because they will say, I didn't know.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And a lot of people, that's right.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Right.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
If my mental status is warped, that does influence and affect the product that I'm putting out daily. And we deal with patients' lives unseen. And sometimes a contaminated tray could actually get into a surgical case and be used. That's the scary part of what we do. It could be used on a patient and that patient could have bad effects later that nobody even puts together with what we've done.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Right. You know, I told a director, several directors over the years, but I remember going into the office with one with the door shut. And I said to this director, I said, listen, I said, I know that you really don't know what we got going on SPD. And sometimes I say things and you look at me like, what is she talking about?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I said, understand this. I'm willing to share with you any knowledge I have so that you can be aware so that you have the verbiage you need to fight the battle and understand this. I got your back. And if I have your back,
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
She smiled and she said, okay. Okay, let's go. Because she knew one thing. If Green Golden said, we need a boroscope, Green Golden's done the research. Green Golden's got the facts. Green Golden has got some information. If we have to go to a court, Green Golden will be there with everything you need.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So I can stand up here this meeting and say, please let us get a boroscope. Yeah, because Green Golden said it. Now, I want to say to managers out there, this didn't happen to me overnight. Talk about it. Dr. Jake teaches leading concepts and how to lead. I had to learn. I didn't have a Dr. Jake. I had to learn this falling and we fall down and we get up. We fall down and we get up.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So I did a lot of falling over 40 years of leading. and learning. And I learned from my mistakes. Now, a good leader learns from their mistakes. I don't have to take the class twice. I only, you know, I try to make an A the first time. But if I don't, I'm only going to take it one more time and I'm going to pay it. So the bottom line is I had to learn from mistakes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I want you all to know what you see now of SGG was not the SGG from 1982. This is the SGG now that has been up many mountains and falling back down. But I was willing to take those experiences and turn them into positivity. and how to lead people and how to help my profession. And I'm just saying, you have to be willing to go out on the limb.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Dr. Jake asked me about that mental health class. I took that on my own. Nobody told me to take it. Nobody advised me to take it. I decided for my people as a manager, they would benefit from having a manager that wasn't just coming around telling me, how you doing, Dr. Jake? And when you say fine, keep moving. When the director said, Ms. Golden, how are things in SPD?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And your answer is always fine. You know it's not fine.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
But you don't want to rock the boat. So it's being able to rock the boat But don't tip it over.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
It's OK for the boat to rock. Boats were meant to rock.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
They weren't meant to technically go over. So I've learned how to rock the boat respectfully. And I will say that always respectfully and with integrity. And I've always made it aware, made everybody aware. I have what I consider great integrity and it will not be compromised. So I'm willing to tell you one and one or two. And if you don't want to go with it, OK.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
But I'm also willing to tell the world I told you one and one was two.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So I need for my people to be in the now. when they're at work in the now today, not in my issues at home, not in, you know, I'm just so mentally ill that I'm sick. I need to be able to depend on them to put out a good product. And that product just happens to be that we put out trays that have met the parameters of sterilization.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And we can feel sure that if it goes into that surgical case, the patient will not have a bad effect because of something we did. So how I feel mentally is important. And when you have someone that comes every day and you know how they are, you know that Golden comes in, she's smiling, she's happy. And for the last month, she doesn't even smile. You have got to step out as a leader.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Uh... If you're trying to learn to lead without limits, the first thing I think you have to do is to understand what your leadership style is. You have to know that. It says that somewhere we learn, know thyself. What is your leadership style? Are you truly a leader? I think we have lots of people. that are leading that are not leaders.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Now, what I have learned over time is that you can be taught to lead, but you have to first know thyself. I think that's very important. And as you lead, number two, are the things that you're doing as a leader, not only meeting the need for the corporation or the company, But if you were the follower, how would you feel about the way that you're leading?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So I'm the leader and I got my own process going. As a follower of that leader, how do I feel? How do you make me feel every day? Because see, human beings are like that. It's all in how you make them feel. If you make them feel that you care, if you make them feel that they are worthy, if you make them feel that they mean something, they will support you.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And as they support you, as you feel the same way about whoever's leading you, this goes up the line. In great places, I believe, that have great leadership, this is what happens. But it's all in how, number two, you make people feel. I worked at an institution where the mission statement said, we came to take care of you spiritually, mentally, and physically. And we used to say that has to
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
that has to correlate not just with, that has to consist of not just the patient, but the workers. And we felt that as leaders, they needed to understand how we felt, how they made us feel as the people who were actually in the trenches doing the work. And this particular institution understood their assignment. And as a leader, you have to understand your assignment.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And your assignment, sometimes we get it twisted. Yes, I want to be sure trays are processed, processed according to parameters, that the parameters are met. But at the end of the day, I want to be sure that all of the people that followed me, the leader on this walk,
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
were happy on this walk, were content on this walk, felt worthy on this walk, so that they'll come back and follow me again tomorrow on the next walk. So that's what I feel. Thank you all. Have a great week.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And reach out. You can't make me do anything. But when you reach out to people and they know that you care, they act better.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
I was dealing with, uh, employees, Dr. Jake, that, that I watched change before my eyes. COVID came in, um, It rocked the world, but it rocked our departments. We were being asked to do things that technically were not in the rule book. They were not in best practice standards. I had to do research to find out if that was going to be good. I had to always spend time with the C-suite.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
But what I found was that my team members were not faring well. Now, the first few weeks of COVID, we were okay. But by 2021... In the middle of 2021 into 2022, I saw people who had changed. Their change was not a little change. It was a big change. And I didn't know what to do. Coming in and saying, hey, Dr. Jake, how you feeling? And this is your answer. I'm fine. We go tomorrow. I come in.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Hey, Dr. Jake, how you doing? Your eyes crossed a date to me. You say, I'm fine.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
That's right. And then hearing things that happened in other hospitals, the hospital down in Alabama where the man came in and shot the people in the hospital and things going on, I said, I'm fine is not a good answer.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And so I worked for a group where they encourage us to seek out better ways to do things. And if you find a way, they will support you. And a course showed up on my computer called Mental Health Awareness. And it was a course you had to take over several weeks, several hours. And I said, maybe I need to take the course.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
It's not a course that makes me a mental health trainer or anything, but what it does is it opens my eyes to see Yes. Something is wrong.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
Something's wrong. And he's saying he's fine is not the answer. That's not helping him. And it's not helping you. And it's not helping the team because as Dr. Jake is having problems, guess what? So is Mary Lou over there.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So now Mary Lou's having a problem. Dr. Jake's having a problem. And you have a department that is imploding. We're a small department and we're imploding on ourselves. They began to nitpick at each other more than normal. And so I started with one person. And I mean, I asked around. I didn't just jump in, Dr. Jake. I said, you know, hey, did Dr. Jake look like he just not his self?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
You know, people will be honest. They'll be like, you know, he used to come in and tell me about his children. He don't say nothing. And I took the course. And what it did was it allows you to be a first aider, meaning you get to see. You feel like someone isn't doing well mentally, not physically. Mentally, something's off. You get to offer them these choices.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
You get to bring them in and select them and say, hey. Dr. Jake, I know you don't want me in your business. That's OK. But I can see you're not yourself. What can I do to help? You know, because I don't want I didn't want anybody coming to my department with their weapons. I didn't want anybody coming into the department, going to kill us all. I'm just saying, I'm just being real.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And I felt that I had people who were on the edge. Their rope was very, very tight. And the first employee that I sent out, when she finally got herself together, she came back and said, thank you so much. She said, you just don't know. Because they don't want to tell you because they feel like, number one, you're going to tell their business. You're going to tell their business to everybody.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
So you don't want to share with me. Number two, I might try to get you out of your job.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
You know, we're human beings. What you tell me may influence me that I'm going to human resources saying, Dr. Jake don't need to be here no more because he's got problems. So people are very secretive about their inner lives when they have mental problems, especially because you don't know what the outcome is going to be.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
You know, we have to first realize that sometimes the adage, the thought process that's out there that says the squeaky wheel gets the oil is important for this department. We're not always the squeaky wheels. And so hospitals have had SPDs since the beginning of hospitals in some way, shape, or form.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 Episode 4 - Staying Compliant Even When It's Tough
And for years, they didn't, and still yet today, but for years, they didn't even know what we did. So they had no idea the importance of the product that was being produced in this little area put away in the basement. So whatever happened, it never actually pointed his fingers back to SPD. That's one thing. The second thing is that I have often asked when things went wrong, why are we reactive?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
I'm working with the permanent staff teaching and I brought you in because you could come in in this temporary moment and go to decontam and clean. Not me go with you. Now, I'm just saying I understand that, you know, you may not know everything, but you said on your resume. You was a SPD traveler. You've been five hospitals. You know what you do. I expect you to stand up to your resume.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
So for travelers to say they came in and expected me to work in decon. Well, then you need to come up and say, well, I'm a traveler who has never worked decon. I can only assemble. Now we're on. Remember clarity. Know what's expected, Derek. Know what's expected. Clarity. No, we know.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Listen, this thing about being family, I'm all about us being family. And I believe that we should be a team and we should be family. But I should be able to put you. This is just my wish list for traveling tech. I don't want you if you can't work every area of SPD. I don't want you because I am already bleeding. And the reason I got a traveling tech was to help us keep up.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
And so if the only job you can do is pick case carts, I don't need you. I needed somebody in decontam. I needed somebody assembling trades. All you can do is pick cases. I don't need you. If you're going to be a traveling tech, I'm just saying, this is my opinion, traveling tech.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
If you're going to put on the bag and say, I'm all that and a bag of chips, be sure you're all that and a bag of chips and stand up to your resume. No, I don't think it's fair to put you in decontam every day. But in my hospital, we rotate it. Be willing to be in the rotation. That's how you become part of the team.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
By be willing to be in the rotation and not being a prima donna and saying I can only assemble.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
That's true. That's not acceptable on any day.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
lawsuits. Let's talk about it. When you give me somebody that isn't qualified just so I have an FTE and I do not have the opportunity to train or to make sure this person can do one job, you put the whole hospital on the road. Because if we have a high infection rate and now in states, you can read the infection rate of every hospital and patients read how many infections you got.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
That's wrong. That's wrong. That's why you, that's why you heard me say the word communications. You have to bring everybody together, the whole team, and say, hey, Dr. Jake has joined the team. He's now in the rotation. So now we have another person in the rotation.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
It's not relieving you from that.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
If I relieve you, I'm going to relieve you from your job.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
If you need that much relief, you're going to have to go. So the bottom line is Dr. Jake's in the rotation. We only had three people. Now we got four.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Hold up. Hold up. I also believe that travelers have to understand a hero is a sandwich. Don't come in with that hero mentality. I came to save the day. You can't save the day up in here. I already know we a mess. So you came in, you came in to help us to do better. And I want you to know that as a manager who has had some travelers,
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
If I got a good traveler, I spent my time making them part of the team, making them happy because at the end of the day, I was trying to lure them off the traveling track to become permanent. Because when I see good potential and good people and I see a gym, I was trying to tell them, listen, you need to stop traveling. Let me see what I can do. You need to come and stay here with me.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
They're not coming to your hospital. So the bottom line is that you have got to give me people who once they're there, I can continuously. educate, motivate, and stimulate them to do the right thing, to know the importance. The biggest problem in SPD is that people do not always understand the importance of the job they are doing every day.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Come on home, baby. Come on home. They don't love you like me. Listen, the bottom line is I was trying to ring them in to keep them if they were good. But I also told them, and I can't get past that word clarity. what my expectations were, and I didn't expect them to be no hero because if we had had heroes, we would all be heroes across our chest. So you can't be a hero.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Don't come in and tell me you can put 45 trades together in eight hours. That's not what I brought you here for.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
There's a question. Automation is as good as automation. You will always need the human factor, period. When the machines stop working, you're going to need me to manually clean the instruments. So automation is neat, and it has helped us to do a better job. But to say that you're going to bring in a washer and get rid of an FTE doesn't even make good sense.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Because when the washer's down, you have nothing. So automation we need, it helps us to do our job better.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
It helps us to be better. And so we need automation. I need a borescope to check the cannulated instruments to be sure they're clean. I need washer decontaminators. I need a cart washer to keep me off my knees washing and cleaning carts so by the time I stand up, I can't put a tray together. But to think that automation is going to get rid of the basic processes of sterile processing,
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
I say it over and over again, what we do matters every day. You don't have a down day. Every day, you've got to be sure that that tray is done correctly. Every day. So to my C-suite, I can't always go to the C-suite, but I can get infection control down to SPD and say, let me show you. I mean, you can't always just talk. have it written, have the standards to back it up.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
That's living in the clouds. That's not going to happen. So what we have to do is stay aware, managers, directors, stay on top of what automation is up and coming, study, know what's there, Be willing to adapt to change as needed. Be willing to advocate. They got the machine. They can count the instruments and put them in the basket.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
See if your hospital will spend that $300,000 to buy that machine. Because at the end of the day, part of our problem in SPD is that we want some automation. We want some updated equipment. They don't want to pay the money it costs to get it for us. And we could do a better job if we had better machinery.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
But you will never be able to get rid of the human factor that has to check an instrument, even though it was in a washer decontaminated and it came out still dirty. So understand you have to know what's out there, what's up and coming and be willing to speak to it. To your administration, as they say, I heard there's this machine. You need to be ready to jump on and say, yes, out there.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
But let me tell you the good and the bad.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
And understand, AI makes mistakes too, T-O-O. You can't just rely on AI. So you have to know what's going on so that you know when a mistake has been made. So there is value in us still being there. Never underestimate the value of me being there with the automation and with the AI.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
This is what it says we're supposed to do. We're not doing these two steps right here because I don't have nobody. Did you realize that we're not soaking instruments for five minutes? Because every time we turn around, they just tell us, just give it to them. Did you realize we're not following best practice standards, infection control?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
I need.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Yes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Don't call after the patient got infection, ask me what had happened. I'm telling you before it happens, we're gonna have a sentinel event because we're not doing it right. You know, people are scared to call The 8, the 9-1-1 number at the hospital where you report your hospital because they want to keep their job.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
That part is true. And we have to understand that together... As we learn and as we grow together, we're better. That's right. Together, we're better. That's right. And you have to, you know, back in the day when all we had was sinks and water and cleaner, that was hard. Once we got a washer sterilized, it got a little better. Once we got washer decontaminators, we were singing hallelujah.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
That's right. That's right. You want to have the advancements because we don't want to work harder. We want to work smarter.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
We want to understand that together we're better. And you know that there's a saying from a Japanese wisdom writer. He said, Santori, he says, individually, we're one drop. Together, we become the ocean. Well, say that again. You better say that again. Let me write that down. Okay, individually.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Together, we become an ocean.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Say the word Santori.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Say Santori.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
So you're putting people in the position of having to look at their integrity and make a decision. Do I report us or do I just do what they say? You know, I know a place where they were washing eye instruments with no cleaning agent. Now, y'all know that's just wrong, but that's what they did.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
I say be true to yourself. First, is this your profession? Is this what you love? Is this what you like?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
If this is what you love and you like and you understand that you do patient care every day and that that patient comes into that hospital depending on you as the manager of that department to be sure that everything is done correctly as best as possible, then you stay and you fight because this is what you love. You have to know your assignment and your purpose.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
And if you know your assignment and you understand your purpose and this is what you want to do, you'll fight for it. But if you find that if you're coming in and you're just weary and you get sick as you get to the driveway of the hospital, you start getting a headache, then you have to reevaluate and say, am I here for the right reason? I mean, this is just true facts.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
I have fought in this situation. profession for years. And I fought because I loved, at the end of the day, I loved what I did. I loved the people that I worked with who were trying to do it right. I loved my assignment. My assignment was to make sure that the product that we processed, that we produced, got to our customer and helped them on their road to recovery. I understood the assignment.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
And I had a person that told me, she says, they're paying me good money, but I can't stay here because what we're doing is wrong. And they won't hear it. So, you know, the bottom line is that you're asking, what do we do to push back? As a manager, I can only push so far, but I can work with the people who can push harder by making them know this is where I stand.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
What we do matters every day. And I preached that to my team every day. What you do matters. You are important. Know that you're important if nobody else tells you. Be happy about the job you did at the end of the day. Do your best every day. Keep learning because knowledge is power. And as you learn and as you grow,
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
You know, as you grow, you know, and you become the best person that you can be in that profession. The best lawyers, the best doctors, the best of anything have all had valleys, hills, and mountains. They made a decision to keep climbing. That's a decision only you can make. Don't let anybody bring you down. Don't let anybody tear you down. Be secure in who you are.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
And understand that as you listen to your heart about your profession, you will be better and things will get better. And when you find you can't fight the fight anymore at that particular institution, it took me years to learn this. Know your worth. And understand you are good enough to get a job somewhere else in your profession and work towards that means.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
And right now, to anyone that's out there in general, infection control should be your best partner. your best partner. I told somebody, this is just off the line, but I told a doctor when I was diagnosed with cancer, I said, I prefer Quality over quantity. If I'm going to be sitting with my head in the toilet, that's not quality living.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
So I'd rather live less and have quality than live long with my head in the toilet. So what we want in SPD is we want quality because the patient deserves quality over quantity. So if you cannot give me quality people, We've got to work on that. Don't just give me anybody because anybody's going to sink that ship. And that is what's happening at a lot of hospitals.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
The ship is sinking and they're like, we got people, but you don't have quality. And I, as a manager, I can't be the manager, the worker, be the manager. The answer, I mean, I'm putting out fires all day long. I'm running around, never get to take my fireman hat off because I'm putting fires out all day long. And it's just not, it's not, I'm not able to keep up with it.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
And so what happens is that you lose sometimes a good manager because I finally say I'm done. I can't stay here no longer. And so because I cannot stay here to motivate people with an administration that will not listen to be better. They only listen to put out the fire. And once the fire is out and infection rate go down a little bit, they start saying, thank you, Jesus, we're doing better.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
We're not doing better. We just didn't infect anybody as a hospital for this month. And so that's where I'm at.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
And that's the odd thing. That's the odd thing. They won't listen to me tell them the truth, but they'll pay a consultant thousands of dollars to come and tell them what I've been saying for years. And then they want to try to get rid of folks and fix things all at one time when we could have fixed this in incremental steps had they just listened. Because I told you, we need a washer.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
You want to pay somebody $1,000 to come in and say you need a washer. You need to have 10 people. All you have is two. There's no way you're going to do this with two people. But Ms. Golden's been sitting here saying, I need more people, quality people, and they won't listen.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Until there's a sentinel event. Get a sentinel event. Everybody starts listening.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
First of all, bringing in temporary people as you vet them and get ready to bring them to your team. You need to be sure that that temporary team member, number one, has clarity. They know what is expected of them from the beginning. I expect you to work decontam when I ask you. I expect you to be able to put trays together.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
I expect you to be able to run the steam sterilizer, the low temperature sterilizer, pick cases, take cases to the R. You have to be specific. This is my expectation of you as a temporary worker. Now, I expect you to be able to put together L&D trays, neural trays, robotic trays, heart trays. They raise their hand and say, wait a minute, I haven't done nothing but an L&D tray. Well, now you know.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
that they're not going to meet your expectations before you bring them in to stand next to your permanent person. The next thing you have to have is communication with that person on an ongoing basis. This is going to be the expectation. I'm going to be checking on you all the time. I need for you to do your job correctly at all times. for the team and for our patients.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
This is back to my expectation. We're going to collaborate about things. Do you really know what you're supposed to do in decon? Because some techs have not really worked in decon. They're traveling, but they tell you, all I did was put trays together. Well, no, here I'm going to need you to be a multi-skilled, multi-specialty technician, meaning we do all the jobs. We rotate all the jobs.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
So you're not coming into my institution telling me what you will and won't do. I'm telling you what is expected or maybe I cannot take you on. And then you have to be sure with your temporary staffing that you explain to them the consequences for their actions if they don't meet Your expectations. It all boils down to accountability.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
And you cannot hold your permanent staff accountable if you will not set the rules. And my word is the rules of engagement in place for the temporary staff that you're bringing in and paying quality money to work. That's my opinion.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 2 Part 2 The Future of SPD: Automation, AI & The Evolution of Sterile Processing (Part 2) Feat Sharon Greene-Golden and Derrick Jones
Hold up. Let me just clarify something. When I bring you in as a traveler, you're supposed to come in knowing what to do in sterile processing. I'm not here to train you. I'm sorry, Derek. I disagree. I'm not here to train you on how to work in SPD. I'm paying you $40 an hour. You should know how to clean the faucet. Okay. I don't have time to teach you.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Yes. And with sterile processing, when you're new, I want to challenge new leaders. Use the resources that are there. You have infection control. Bring them down. Tell them what your problems are.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Because infection control has a straight line to administration. As Dr. Jake said, talk to the OR director. Say, this is what we need in order to help you do the surgical cases. You should be part of the surgical staff meeting anyway. Go to surgical staff and sit with the physicians and say, Dr. Booty Boo, we can't do five knee cases. We got one fork. Can you help us to get some more folks?
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Because see, Dr. Booty Boo will go to administration and say they say they got one fork in the SPD and we need that. And I'm going to take my cases across the street because they have four forks. So use the resources that are there. Everyone is not as bold as me. And I did. I wasn't born really, really bold. I got bold as I grew. But I was outspoken since I was young.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
But the bottom line is, I believe that if you are a leader, you should lead. And you lead by example. And you lead with facts. You make sure you know what you're talking about when you go to talk it. And you tell them what you need. I was thinking about 6888. when she was out there and she told them who she was and what she wanted them to do, they followed her because she said, I'm the chief.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And they followed her and they did what she said. But when she stood up for them in front of that general, and said, not over my dead body. They realized she had their best interest at heart and that she would go to the end with them. Your team needs to know that you will go to the end with them.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And you need to impart into your team that what they do matters every day because we take care of patients who do not have the opportunity to see us, to know us, or to even say, thank you for having an error. What you do matters and we do not have the right to impact a patient's surgery.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Well, you know, communication is about talking, but talking without accountability gets you nowhere. So if I'm communicating that the OR is sending me an incomplete set, I first have to have the facts, all the facts. Nowadays, we all got cell phones in our pocket. Take the picture of the trade. It came back without the instrument.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And go immediately to the OR team and say, we didn't get this particular item back.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Okay, good afternoon. I am Sharon Green-Golden. I am a sterile processing professional. I've been in the field of sterile processing for 40 years. I started sterile processing as a basic assistant who became a technician, who became a team leader, who became a supervisor, who became a manager. I have been doing this work as my passion for all of those 40 years.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Because you cannot come four hours later because everybody's memory is skewed. And they will remember sending you the instrument. They will have witnesses that remember sending you the instrument. And the instrument is by then probably in the trash and gone. Immediate means that we called it right now. What I always say is SPD team members understand this.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
We understand we need the instrument to complete the tray. My question is always when I say something is missing, what is our motivation to say we don't have the instrument when we can't put the tray up without it? If I come to you, I don't have the instrument. Now, I would say to SPD, you need to be sure you did look and you were sure that that set was missing the instrument.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Because there's been plenty of times that we go back and we find it in SPD. So we need to be sure. And immediately, Dr. Jake means that I looked right now. It's not here. So now we can go back to the OR and look in the room. They can pull the trash, whatever is needed.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
But communication, you should have a process where you automatically, we had a process where we automatically called to the front desk and say, room 7, 730 tray came down. It's missing the spoon right now. And they would call the team that did the case. Come out of the lounge, drinking your coffee, go. They say they don't have a spoon. Go and help them find the spoon.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
It's going to happen, but we have to be able to talk to each other and say what is missing and what I need.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Yes. I know. I know that every time they do a hit, the mallet doesn't come back. We know that. The mallet's missing every day. So proactively, when that case comes in, the first thing we do is go to the cart and see that we get the mallet. That's good. We don't wait. We go right away.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
The other thing we do is, as we've gotten professional, we have liaisons from SPD that sometimes in some ORs, you say, go to room seven, their case is ending, and help them to put those instruments back together. Because we know they're trying to turn over the room, go in there, help them so that we get the mallet back. So you learn this.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
We know, as professionals in SPD, technicians, you all know what isn't coming back. You already know what they put in the wrong place. After you do it a while, you know. So we're on the lookout. And because we're on the lookout, we can catch these things. I've had them pull the trash. At one hospital, I would say they had to put the room number and the time of the case.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And we would say, do not dump 730 room 8. Put that trash to the side until we tell you we OK. Because we wanted to be sure we got all of our instruments before that trash went outside. But it's going to happen. But as Dr. Jake and Derek say, it's all about being able to talk to one another.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Talking is the answer. We don't like to talk. Talking is the answer. Not accusing. Right.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
I am also past president of ISHM, which is HSPA now. I was in the presidency as vice president, president, I think, from 2012. to 2015. I was a former president of the foundation. I served on the board. I have served on many boards within the profession, 3M, ASP, Staris, Halyard, as a subject matter expert. I have helped to write information for the national test that you take. I am a
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
You know, it's about talking and not accusing and saying, look, this is what we've noticed. We've been taking some notes. And we noticed that every time you all do this case, the sponge force doesn't come back. Now, this is not accusing. I'm just saying for the last 15 times, we haven't been able to find the sponge force. We don't know what's going on.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
So we thought what we would do is as you begin to close, call me and SPD. I'm coming over and I'm going to help you because my only job is to find the sponge faucet to see what happens to the sponge faucet. And then what we found is that it was still hooked to the rack. And when they wrapped up the rack, they threw it away.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
So now we're able to go back and say, we know what happens to the sponge faucet. And so now, before you start doing anything, back table tech, ask them to hand you That's funds for us. Because you don't get a raise either if we're buying instruments every day. We are a team. So we all would like to get a raise. None of us are volunteering here, including the president of the hospital.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And he won't get a bonus if all the bonus is buying instruments. So everybody has a vested interest in us not throwing the instruments away. And I'm not accusing you. I'm just saying, help me help you help the patient's next case by us having the instruments. And as you talk, you become associates.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Hopefully you can become can communicate to where your friends, but you become associates on the same plane going to the same place. We all want to get there alive. This is what it's going to take. And so we work towards that.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
I think, first of all, as SPD, we have to understand who we are, where we are. Nobody knows we exist. Until 2012, when I did the Today Show piece, patients didn't even know there was a group of folks cleaning something somewhere. Some patients, including doctors, thought instruments flew in on a plane ready to go and you came to the room.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
So I often say it's a sad frog that doesn't croak in his own pond. You have to be willing to stand up for what you do and tell people what you do. How many of you all are willing to say, hey, I'm an SPD tech. This is what I do. You know, I meet I meet patients in the hall because patients think everybody in the scrub is a doctor or a nurse.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
They'd be like, hey, I'd be like, they'd be like, I'm going son. So I'm like, okay, I do what we call aid it. I'm a Sharon Green Golden. I work in cell processing. Do you know what that is? They'd be like, no. I said, have you ever had surgery? Your family had surgery? Yes. We're the department that takes care of the instruments that are going in your body.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And you need for us to get it right every day. And patients are like, what? I'm like, yes, this is a department that works. You don't see us. You don't hear us. But when you look at Grey's Anatomy and they say pass the scalpel, we're in the movie. Because the scalpel didn't get there without us putting it in the tray. So it's all about being willing to promote yourself.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Our person, Ignacio, would say market yourself. Respect comes from respecting yourself first and being sure of who you are. And then when your boss, your team leader comes and says, hey, we need a person to take over ortho specialty in the OR so that we can help them keep up with their instruments, raise your hand and say, I'd like to do that. Because if you do that, you get to meet the OR team.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
international presenter in the field of sterile processing. I've spoken all over the world, New Zealand, Australia, Brussels, Italy, Japan, Turkey. I've been everywhere, but I've done mission work in Bangladesh and Tanzania in the field of sterile processing, teaching cleaning techniques. And so what I do know is thorough processing. I know you. I know your people. I know your issues.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And as you meet the OR team and you teach them, they get to know you. They get to respect you. Respect to a certain point is earned. Thank you Thank you. Thank you.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
I've been there in the trenches. I got a T-shirt, a hat, and some chips somewhere around here that say, I do know. And that's Sharon Green-Golden.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Thank you. Thank you. Thank you. Thank you. Thank you.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
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Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
That you're ready to be. See, you can't be one here because I'm not retiring this month. That's right. Go over to Walter Reed because they got an opening. Go over to Joe's hospital because he got an opening. Oh, yeah, we're going to be short here, but we'll be all right because I'm going to prepare somebody else for your spot. So, you know, everybody's not like me.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
They don't like to see people grow, but I do. And I've sent people, you know, nobody dying over here this year. Everybody said they're going to live the whole year. So you need more money and you need a better job. Let me help you find one. What I will not tolerate is you trying to poison the staff we have with your negativity.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Be willing to leave yourself when it's time. You know, when I said goodbye.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
I tried to prepare people to be able to step into my shoes. And what I realized is that the place I was at, there was nobody that was really ready to step in as a manager. I had people that I made team leaders. I had people that I made supervisor, but they weren't ready. But I want you to understand this. To you managers that have been there for 95 years, there's a time to go.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
You got to know when to hold them, fold. You got to know when to walk away. And you want to walk away at the top of your game. You don't ever want nobody to send you out to pastor. You want to go to the pastor on your own accord. So training people, you should always be training people to take your spot.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
See, sometimes we're scared to let everybody know all the secrets because they might get my job. What I told my team was you can't get my position until I give it up.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
So any secret I got, I will tell you. You want to know how to cut the sterilizer on from the back? Let me show you. Let me help you. Let me train you. Because while I'm on vacation, I need y'all not to bother me. That's right. Talk about it.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
You have to be secure managers in who you are and your position so that you can impart wisdom into other people to be secure in who they are and to be ready to take over. That's right. Everybody has a time limit. I know some people stay to the very, very end, but everybody has a time limit. Muhammad Ali fought one fight too many. Let it go. That's right. And do what I do.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Be willing to share and mentor people. I have people that call me at home right now all the time. Ms. Golden, this happened. What I'm going to do? I'm willing to impart facts to you at any time. But it didn't mean I had to stay at that particular hospital to the very, very end. I told him I'd be there for three years and I stayed seven and I said goodbye because it was over.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
I think, first of all, and I have been in toxic environments, you have to be sure of why you're there. Can I say that? I go, I went to the hospital as an SPD tech every day. to do my job according to my job description. My job description never said I needed to have any friends. It didn't say me and boo-boo need to be eating lunch together. It didn't say none of that.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
It said, these are what we want you to do every day. What I did when I was in a toxic environment was make sure that I had my job description front and center, and I followed it. And every day I went in, Dr. Jake did before we had this meeting, I'd have to pray just to make it that day. And I would go in and put the toxicity of the relationship in my locker.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And I'd have to go in and say, today I'm going to be professional and I'm going to do what I have been asked to do. And I'm not buying into any of this negativity from Lucy, none from Susie. I'm going to do my job. Now, I made complaints as necessary to leadership, as necessary to say, this is what's going on. This is what's happening. And this is what I'm doing.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
I made sure that I was always doing what I was supposed to do, because you can't complain if you're doing wrong. And then I kept my notes, like most SPD techs do. Y'all know y'all got them notebooks in your locker. I kept my notes as to what I was doing, as to what I thought was wrong. And I tried to do right every day. And I kept looking and waiting for my out.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
I didn't go singing every day, but I'm a quick. Y'all, this is a terrible place. Nobody knew what was in my heart and what I was trying to do. They only could say Sharon is doing her job. My manager likes Lucy better than she likes me. And Lucy don't do no DaVinci trays. Okay. I just kept the facts. I do all the DaVinci trays. Lucy does all the Myron Gottman's.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
When it was time to talk about it, I came with facts and said, this is what's going on. And this is how it's happening. But sometimes in a toxic relationship in an SPD, Dr. Jake, there's nowhere to go. As you said, nowhere to go. You got to stay. But you can stay and do your job and not be part of the problem. You can stay and do your job and not be part of the problem.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And that means you have to know what your job is. What does my job description say I'm supposed to be doing? And stay out of other people's business.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
As a leader, I spent a lot of time making sure that my team knew I did not favor anybody. I was an equal opportunity pariah. I'd eat everybody. And they knew that. She'd eat everybody. Nobody's special. If you did it wrong, you get eaten. And I worked hard at that because I did not want anybody to say, looks like you always giving Derek the easy assignment. Nope, nope. Go ask Derek.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Is that how he feels? He'll tell you how he thought you had the easy assignment. So the bottom line is that People in SPD, for whatever reason, we're a small department. We spend a lot of time and we waste a lot of energy looking at what so-and-so had to do against what I had to do. Instead of saying what we do, and I can't stress it enough, what we do matters. It's important to the patients
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Please put that DaVinci tray together. That's your assignment today. Please do it. It was your assignment yesterday. Please do it. Now, the question I often ask people when they come to me while I'm trying to work out toxicity and what they think is, did we pay you yesterday for doing the DaVinci tray? Yes. Okay, we're going to pay you today too. Go do the Da Vinci trick.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
We're going to pay you today. So as long as we're paying you, which is our obligation, and we're not asking you to paint walls and strip floors because that's not in your job description, do what you're asked to do. And I'm going to look into it with human resources, whoever I need to, to see if I can help you. Sometimes toxicity requires you send people to EAP. Don't be scared.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Sign them up and send them. Sometimes it means you have to take off the low hanging fruit and let people go. You have to do all the paperwork, much as you don't want to, to get rid of Sharon because Sharon is ruining the whole barrel of apples. And no matter how good Sharon is, she can put a Da Vinci tray together with her eyes closed.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
But when she gets her eyes open, she causes everybody else not to do their job. Let Sharon go. Teach somebody else to do the Da Vinci tray. But as a leader, you have to be willing to let people go. And sometimes in SPD, we don't want to be short. So we keep the low hanging fruit. Let it go. You're going to get more work done when they're gone because the other people will step up.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Ladies first. So sterile processing, once we actually realized that the profession was very important and what we did actually mattered, we started realizing the importance of not having errors. Because if you have an error, you impact the patient.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
lots of sterile processing departments are understaffed. They've always been understaffed, but we get the work done. What I want to say is that you cannot rush the process. It's not fair to the patient. I don't care who your boss is. You cannot rush the process. See, when I'm on the surgical table, I need my tray to be clean, all the instruments working for my case.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
So therefore, I have to do it for everyone's case. They can come and say, hurry, hurry. The reason we have instructions for use available is so that we can say, can't hurry, can't hurry. I've had to tell doctors, I'm sorry, but it said it had to soak for five minutes, sir. So I can't miss the soaking step because you need it. I have to soak it.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And I'm sure if it was your family member on the table, you would want me to follow all the instructions. And they're like, yes. So the bottom line is that you're going to be understaffed. But that should not make you have errors.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
There's no excuse for your error. You know, I didn't put the indicator in the trade because they was rushing me. No, boo. No, no. That was the first step. So you couldn't forget the indicator because that was the first step.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
So for a tech to say, I'm understaffed, that's why I have these errors, is not acceptable. Let me just say that. Go ahead, Derek. It's not acceptable.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
I will agree. I will tell you this. As the leader, it's my job to make sure that the C-suite knows where we are. I invite the C-suite to the sterile process. I tell my sterile processing tech, stop standing in front of me telling me what you don't have and what you don't like and how you so sad. Here's the president of the hospital. Tell him. I will tell you, he's heard it from me.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
And they will say, Ms. Golden told us y'all need more money. Ms. Golden told us y'all don't have enough people. But it's better when it comes from you. As a leader, I support my staff. As a leader, I support my staff, but my staff has to do the right thing every day for me to support them.
Bred To Lead | With Dr. Jake Tayler Jacobs
Bread To Lead Presents SPD 911 | Episode 1
Because when you have an error, I'm sitting on the other side with the other people with the gun shooting at you, too, because I don't understand. So having errors has nothing to do with you being understaffed. What I have to do is try to make it work so that you feel comfortable enough to do quality work, even though we need two more people.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
They happened to have been loaner trays. The loaner vendor showed up with the trays. There's no communication from the OR. They just said, these trays are coming in. You all need to process. You all need to get the trays ready for the case. So we did our process. We took them to decon. We cleaned them. We sent them over to the clean side. We got them assembled and we put them in the autoclave.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
As soon as they got in the autoclave, about 15 minutes in, a doctor shows up at the door. He's looking for Ms. Goldwyn. because he won't know why his instrument's not ready. He ready to do his thing. And I said, well, sir, they're not ready because they're in the autoclave. And, you know, we had to wash them and we had to assemble them and whatever.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
And he says to me, the director told me to tell you to cut the autoclave off. We're going to flash them upstairs. This is about 10 trays. I said, the director told you what? He said, we're going to flash them upstairs. Now we don't, we haven't used the word flashing forever. I said, I don't think the director told you that because that's not our policy or our standard.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
He yelled, he said, yes, it is. Oh, he just went off. I took a deep breath and I went and I said, I'll be right back. I went and got a little notebook. I came back. I stood in front of the doctor and I said, sir, you are absolutely right. You're in charge. Now tell me again what it is you want me to do. So I got to write this down for the lawsuit. He said, what lawsuit?
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
I said, the one we're going to have when I tell the patient that you said you was in charge and for me to cut the autoclave off, bring the instruments upstairs and flash them. He looked at me. He turned around. He walked out into the hall and screamed real loud. He went on back upstairs. When the instruments were ready, I personally delivered them. And I met him in the hall and he said to me, Ms.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Golden, I'm sorry, you're right. He said, I remember one time we got some instruments from another hospital and when we opened them up, they were dirty. I said, so you understand the standards, sir. We work for the patient. And at that moment, my integrity was on the line with him because he was the doctor. I felt I was professional enough because I met him with, you are in charge, sir.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Tell me what you want me to do. I'm writing it down because that's documentation there for the lawsuit. I'm telling you why I'm writing it now. I'm not writing it for my book. I'm writing it for the lawsuit because my integrity will not be compromised. I understand people, but every hospital has a compliance number. We don't use them enough.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
what we do is we go around the corner and tell lucy and mary jo and and mary jo and lucy and mary jo and lucy can't help you we never sometimes tell the as dr jake said we never go up high enough we accept what's being told what we're being told to do would you accept the brake man not making sure you have brake fluid in your car
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
we once you once you turned over in the street are you going to accept that when he says that's just how we did it and i was scared for my job so i killed your family is that going to be acceptable absolutely not so why is it acceptable in sterile processing i'm not i don't know about dick ditch digging that's not my that's not my my my thing in sterile processing to sit back And just let it go.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Good afternoon.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
And then go and tell other people on the side. They don't do things right at that hospital. But you work there. The day is you.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Yes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Right. Facts. And understand, people sue everybody nowadays. So you can sit back and be complicit. And when it all boils down, understand people like to throw everybody under the bus. Come on, come on. And routinely, SPD is under the bus. I don't know if we ever get in. We always under the bus when there's a problem. That's right. And they're going forward and backwards.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
So you have got to, as Dr. Jake says, Derek says, document. I said it. Follow the chain of command. What did it say are the steps? Derek said HR. What did it say are the steps? My job description said I'm supposed to clean, assembled, processed, didn't say nothing about dirty instruments in the autoclave. I can't justify that. And so when they come to me, I'm saying the instruments was dirty.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
I can't do them. Why are you so slow, Ms. Golden? Because I'm having to clean the instruments that come over because they're still dirty. And we need to fix that. But before I go and say anything, Dr. Jake and Derek, before I put it out, I will have done an investigation. What is our policy? What are we really doing? What are the steps? Because you've always got to cover yourself.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
I didn't go to the news, by the way. I did all these other steps. I did all these other steps. And because at the end of the day, it is about patient safety.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Listen, I earned these stripes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
40.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Intriguing because I presented on the national stage mental health in SPD. I think it was in 2022 at our national meeting. People don't like to talk about mental health. Now the question as it is, is number one, the hospital isn't going to recognize nothing. This is all about human to human. And what it takes is it takes you as a leader to know your people. You know your people. I knew my people.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Mine's going good.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
I knew when Lucy's eye was crossed that she must have a headache. I knew when Mary Jo came in and she didn't say good morning, that something was wrong. So you work enough that you know your people like parents know their children. You must not only be willing to recognize that I have a problem today. For instance, your high hanging fruit is now low hanging. They're making mistakes.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
They're making errors. Something has changed. You have to be willing not to get into somebody's personal business, but be willing to use, Derek, as he would say, HR to follow the recommended practice for what you do when people need help. And in this day and age, a lot of SPD techs work two jobs. I know mine did.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
They left my job, went to another job, or they came to my job from another job because you need two jobs to live. I had to be able to be willing to notice that there's a change and be willing to help, not just notice, not go talk about Dr. J., But be willing to notice.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Now, I went as far, Dr. Jake, as to go and take a course on mental health first aid so that I could learn the steps of somebody in a crisis and what you need to do. I don't diagnose anybody. I come and say, bring Dr. Jake into the office. We shut the door and I say, Dr. Jake, I notice something is wrong. Your work is suffering. You're not adding to the company anymore.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
You don't have anything to say. Is there anything I can do to help you? Because you see, when you struggle and don't do your job right, we have to redo the trade you did. And so we're not doing anything. We got to redo the trade you did because you're not paying attention. It's not helping us help the patient. And what is it you need? People throw out employee assistance. Sometimes that's good.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
But most of us working these jobs have some sort of insurance. Do you need to take a day off? Do you need to handle some business? Do you need to go to EAP? Do you need to go see a psychiatrist or psychologist? What do you need? I'm willing to support you to that end. But I would stand up in the floor, you all, and tell my staff, all of us can't have a mental health day on the same day.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
The patient needs us. So I understand you need a day. There are stresses. We're asking you to do a job. We're asking you to be responsible. We are holding you accountable. And at home, your house is falling apart. and your family is asking you to be accountable. They're asking you to be responsible. And so all of that comes in on you and you can't handle it.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Well, as they say, there are programs out there, I'm gonna get you into them. Now, I happen to have worked for a company that believed in pastoral care. I send my people over to the pastor's little office all the time. Which pastor do you like? Go over there. Talk to them. Now, let me be clear about something.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
I noticed my people had problems and I wanted to help them to get better, but I never wanted to know the problem. Do y'all understand me? I'm not the pastoral care person. I'm not the psychiatrist or the psychologist. And I really don't want to know your inner problems. in her business other than I'm sad because my mama died. Okay, I can take that.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
But I don't want to know that your husband took the money and ran away and he got five girlfriends and two babies. I don't want to know that. I want you to go talk to somebody that can help you. I don't want to know that you feel like you're going down a black hole. And every day that you come to this job, the hole gets deeper. I want you to tell me I have a problem, Ms. Golden. I need some help.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
And I'm going to guide you towards that help. Because see, standard operating procedure says I manage SPD, not mental health. But I'm willing to look at your mental issue and provide the guidance according to the steps from HR. And what I've learned by getting my mental health certificate, I can help you. I think we have to help people because we all have bad days.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
We all have to be willing to admit we have some mental issues. I've had to take at some point in my life medicine for depression myself. I'm not that big a bad that I've never been depressed. But thank God I was willing to, I was able to notice it and willing to go for help. Everybody's not willing to go for help. You have to guide them. You know, I called the people and said, I'm depressed.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
I can't get my head off the pillow. I'm trying to buy Uzi's on eBay. And they say, come in here. Is you trying to kill yourself? No, I'm not going to kill myself, but I'm willing to kill other people because as Dr. Jake says in his favorite book, I can repent for murder. I don't know if I'll be able to repent if I kill myself. So I'm willing to kill the other people.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
So they told me get in here because you need help. Mental health is something that people always don't recognize in themselves. And my job is to know you enough to know you have a problem, Dr. Jake, and you need help and to guide you.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Is it cold where you are? I'm doing fine. We were almost 70 degrees yesterday. We are recouping from the snowstorm and running.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Okay. Okay.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Good afternoon.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
So. Let me start off by saying, where is and what level is your integrity? That will determine your altitude for this question. Now, if you find that there is a problem in following standards, best practice, evidence based practice, and it's harming patients or it has the ability to harm patients. Your integrity determines how silent you are. Silence says that you agree.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
So you can't be silent and agree and then say you don't agree. Silence says you agree. So what do you have to do? Well, every hospital that I've ever worked in has a compliance 1-800 number. A 1-800 compliance number that you can call and report Something. Now, the thing about reporting people is this.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Have you done your true investigation to the issue or are you reporting something you heard, but you really do not know? Do you know the standard? OK. Do you know the standard? Are you a third party repeater of something that cannot even that is not even admissible in court? All right. So now we must we must determine if what we are reporting is number one, correct.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Number two, admissible in court. That tells you how far you can go. If they're doing something, if we're putting instruments together and not washing them. And just going straight to the eye of the clay, you cannot stay at that job and be silent. You've got to call. The 1-800 compliance number. If you don't want to call the compliance number at your hospital, call the 1-800 number at the state.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Call the 1-800 number for whoever is your certifying body, be it DMV, the Joint Commission. But you must report it. Now, there's steps to reporting. You first start off with your number one, your supervisor. Ms. Sharon, you're not washing the instruments. They're not. I have to take my tray and go wash it personally before I can put it together. You notate that. You all write everything else down.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Notate that. Send yourself an email. Do what you have to do to quantify and qualify that you made this statement. You wait a couple of days. The supervisor act like all is well. You follow what is called a chain of command. Go to the next person. And you say, for instance, I told Derek, he hadn't done nothing. Now I'm going to tell Ms. Sharon, she's the manager. You tell me. I say, okay, I got it.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Now in the hospital, if it's something dealing with what we're doing, one piece of chain people forget would be infection control. So you told Derek, you told Sharon, nothing's happening. Now you call infection control and say, I just wanted to let you know, come down to SPD and see for yourself. But we no longer watch the instruments. That doesn't work.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Then you go to the next person up, your director. Let's go to Dr. Jake. Dr. Jake, just want to let you know that I told Derek, I told Sharon, I told infection control, we're still not watching the instruments. I'm telling you, you've told Dr. J, now you can be like Pontius Pilate, wash your hands. You've told all of them. They don't do anything.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
You go to the compliance 1-800 number, or you go to the state, or you go to wherever you go. But you cannot say you're compliant and say that you're doing patient care and not report it.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
By the means of killing other people? Is that what you're trying to tell me? That it's okay for you to take care of your family and kill mine? The job that you're doing requires, we don't take the Hippocratic oath, but it requires that you have integrity and standards. And so I didn't say, you told all those people they didn't do anything, you go on about your business.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
I didn't say give your job up. You told them and you move on. But I'm saying at some point you have to be willing to go higher. So that's the decision you make people before you start this train. If you're not willing to follow it to the end, then don't start it. Because I understand you need to keep your job.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
But how do you work somewhere where they're doing things completely wrong that could harm a person's life? That's the part I've never understood about our job. Now, digging a hole, you might be able to dig the hole a little crooked. And that might not be bad. Nobody might not be hurt if the hole crooked.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
But if we put out instrumentation with bio burden and things on it that's not clean and we put it in, it goes into a patient's body. I happen to be an immunocompromised person who's had 12 surgeries. If anything falls in my body that I can't fight off, I could die. So you're going to tell me to keep your job. You willing to kill me? You can't have it both ways.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
You cannot, in this instance, have your cake and eat it too. Either is wrong or is right. We don't have the ability or we're not supposed to sit back and play the game. I'm not going to tell nobody. I just wait. Do you want to wait until they shut your hospital down? You won't have a job then either.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
And if you came to me for a job, the first question after you tell me you worked at Joe Blow's hospital, I'm going to ask you is, were you working there when they weren't cleaning the instruments? Were you there? Yeah, I was working.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
Oh, that's going to weigh heavy on me hiring you because I already know I can't trust you to tell nothing because you was happy at the hospital that wasn't cleaning instruments until somebody finally told and they shut them down. Come on, Derek.
Bred To Lead | With Dr. Jake Tayler Jacobs
SPD911 EP 3 PART 1 The Fear Culture & Mental Health Crisis in Sterile Processing
That's good. Yes. So I wanted to share this. I have a physician. It's been 15 years ago. that the standard is, if any instruments are brought into your hospital, the standard at my hospital was, if instruments are brought into my hospital from another hospital, we must wash them and process them at that hospital. That's our policy. So the doctor decided he needed some instruments.